National and State-Specific Attitudes toward Smoke-Free Parks among U.S. Adults

Int J Environ Res Public Health. 2016 Aug 31;13(9):864. doi: 10.3390/ijerph13090864.

Abstract

Outdoor places, such as parks, remain a source of secondhand smoke (SHS) exposure. We assessed attitudes toward smoke-free parks among U.S. adults. Data came from the 2009-2010 National Adult Tobacco Survey, a landline and cellular telephone survey of noninstitutionalized adults aged ≥18 in the 50 U.S. states and D.C. Descriptive statistics and logistic regression were used to assess the prevalence and sociodemographic correlates of attitudes toward smoke-free parks, overall and by current tobacco use. Overall, 38.5% of adults reported favorable attitudes toward complete smoke-free parks; prevalence ranged from 29.2% in Kentucky to 48.2% in Maine. Prevalence of favorable attitudes toward smoke-free parks was higher among nonusers of tobacco (44.6%) and noncombustible-only users (30.0%) than any combustible users (21.3%). The adjusted odds of having a favorable attitude were higher among: women; Hispanics and Black non-Hispanics, American Indian and Alaska Native non-Hispanics, and other non-Hispanics; those with an unspecified sexual orientation; and those with children aged ≤17 in the household, relative to each characteristics respective referent group. Odds were lower among: any combustible tobacco and noncombustible-only tobacco users; adults aged 45-64; and those with some college or an undergraduate degree. Opportunities exist to educate the public about the benefits of smoke-free outdoor environments.

Keywords: attitudes; national; parks; secondhand smoke; smoke-free; state.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Health*
  • Child
  • Environmental Exposure / legislation & jurisprudence
  • Environmental Exposure / prevention & control
  • Environmental Monitoring
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parks, Recreational / legislation & jurisprudence*
  • Public Health
  • Public Opinion*
  • Smoke-Free Policy / legislation & jurisprudence*
  • Smoking / epidemiology
  • Smoking / legislation & jurisprudence*
  • Smoking / psychology*
  • Surveys and Questionnaires
  • Tobacco Smoke Pollution / prevention & control*
  • Tobacco Smoke Pollution / statistics & numerical data
  • United States / epidemiology
  • Young Adult

Substances

  • Tobacco Smoke Pollution